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January 2015 Briefing - Urology

Here are what the editors at HealthDay consider to be the most important developments in Urology for January 2015. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

CDC: ~8 Percent of U.S. Adults Nonadherent Due to Rx Costs

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Nearly one in 10 American adults don't take their medications as prescribed because they can't afford to, according to a January data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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PDE-5 Inhibitors Tied to Prostate Cancer Biochemical Recurrence

THURSDAY, Jan. 29, 2015 (HealthDay News) -- Phosphodiesterase type 5 inhibitor use after radical prostatectomy is associated with increased risk of biochemical recurrence, according to a study published in the February issue of The Journal of Urology.

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Benefits Package Important for Attracting, Retaining Staff

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- An appropriately-targeted benefits package is crucial for attracting and retaining employees, according to an article published Jan. 22 in Medical Economics.

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Current Smoking Reduces Survival in Prostate Cancer

WEDNESDAY, Jan. 28, 2015 (HealthDay News) -- Current smoking reduces odds of survival in prostate cancer, according to a new study published online Jan. 27 in BJU International.

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MRI-Targeted Prostate Biopsy May Yield Better Results

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Prostate biopsies that combine magnetic resonance imaging (MRI) technology with ultrasound appear to give men better information regarding the seriousness of their cancer, according to a new study published in the Jan. 27 issue of the Journal of the American Medical Association.

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Chlorhexidine Bathing Doesn't Cut Health Care-Linked Infections

TUESDAY, Jan. 27, 2015 (HealthDay News) -- For critically ill patients, chlorhexidine bathing does not reduce health-care-associated infections, according to a study published in the Jan. 27 issue of the Journal of the American Medical Association.

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Cumulative Use of Anticholinergic Medication Tied to Dementia

TUESDAY, Jan. 27, 2015 (HealthDay News) -- Higher cumulative use of anticholinergics may increase the risk of dementia, according to a new study published online Jan. 26 in JAMA Internal Medicine.

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Prophylactic Antimicrobials Overused in Urologic Surgery

FRIDAY, Jan. 23, 2015 (HealthDay News) -- Utilization patterns indicate that antimicrobial prophylaxis is overused for urological surgeries in the community practice setting, according to research published in the February issue of The Journal of Urology.

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May Be Room for Improvement in U/S Transducer Hygiene

FRIDAY, Jan. 23, 2015 (HealthDay News) -- For endoluminal procedures relying on barrier protection to avoid contamination, permeability of materials may not always be considered, according to a study published in the February issue of the Journal of Clinical Ultrasound.

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ASCO Reports Biggest Clinical Cancer Advances for 2015

FRIDAY, Jan. 23, 2015 (HealthDay News) -- The biggest clinical cancer advances for 2015 have been identified in an annual report from the American Society of Clinical Oncology, published online Jan. 20 in the Journal of Clinical Oncology.

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Physicians Rank the Best EHR Systems of 2014

THURSDAY, Jan. 22, 2015 (HealthDay News) -- Physicians have ranked electronic health record (EHR) systems based on five key performance areas, according to a report published in Medical Economics.

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Intracytoplasmic Sperm Injection Rates Have Doubled

WEDNESDAY, Jan. 21, 2015 (HealthDay News) -- Although use of intracytoplasmic sperm injection (ICSI) has doubled in the past decade, the procedure is not always associated with better outcomes, according to a new study from the U.S. Centers for Disease Control and Prevention. The findings were published in the Jan. 20 issue of the Journal of the American Medical Association.

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Collaboration Between Med Students Cuts Diagnostic Errors

TUESDAY, Jan. 20, 2015 (HealthDay News) -- For fourth-year medical students, working collaboratively is associated with a reduction in diagnostic errors, according to a research letter published in the Jan. 20 issue of the Journal of the American Medical Association.

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Docs Should Negotiate Health Care Payer Contracts

TUESDAY, Jan. 20, 2015 (HealthDay News) -- The terms in health care payer contracts are not immutable, and contracts should be negotiated, according to an article published Jan. 9 in Medical Economics.

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Physicians Hit Barriers in Making Cancer Referrals

TUESDAY, Jan. 20, 2015 (HealthDay News) -- Many physicians report encountering barriers when referring cancer patients to specialty care, according to research published in the Jan. 1 issue of Cancer.

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Bullying Linked to Lower Urinary Tract Symptoms in Children

TUESDAY, Jan. 20, 2015 (HealthDay News) -- For 8- to 11-year-olds, bullying is associated with lower urinary tract symptoms, according to a study published in the February issue of The Journal of Urology.

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Prostate Cancer Mortality Benefit Seen for Family Hx-Based Screens

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Screening white men with a family history of prostate cancer appears to be associated with a decrease in prostate cancer-specific mortality, according to a study published in the January issue of The Journal of Urology.

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Most Docs Work 40 to 60 Hours Per Week

FRIDAY, Jan. 16, 2015 (HealthDay News) -- Physicians work long hours, with most working 40 to 60 hours per week and a considerable proportion working 61 to 80 or more hours per week, according to a report published by the American Medical Association (AMA).

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Defensive Medicine Common Among Surgeons, Radiologists

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Defensive medicine is commonly practiced among surgeons and radiologists in Austria, according to a study published online Jan. 6 in the Journal of Evaluation in Clinical Practice.

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Impact of Medical Scribes on EHR Advancement Discussed

THURSDAY, Jan. 15, 2015 (HealthDay News) -- The increasing use of medical scribes should not be a replacement for improving electronic health records (EHRs), according to a viewpoint piece published online Dec. 15 in the Journal of the American Medical Association.

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Patient-Selected Audio Therapy May Ease Pediatric Post-Op Pain

THURSDAY, Jan. 15, 2015 (HealthDay News) -- Going through a surgery often means postoperative pain for children, but listening to their favorite music might help ease their discomfort, according to a new study published online Jan. 3 in Pediatric Surgery International.

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Working Long Hours? Beware Risky Alcohol Consumption

WEDNESDAY, Jan. 14, 2015 (HealthDay News) -- Working long hours may raise the risk for alcohol abuse, according to a new study of more than 300,000 people from 14 countries. The report was published online Jan. 13 in The BMJ.

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Guidelines Presented for Clinical Documentation in 21st Century

TUESDAY, Jan. 13, 2015 (HealthDay News) -- Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

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AMA Reports on How Docs Use Their Free Time

FRIDAY, Jan. 9, 2015 (HealthDay News) -- The American Medical Association recently surveyed physicians to find what activities they pursue when not in the exam room.

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CDC: Occupationally Acquired HIV Now Rare

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Documented occupational acquisition of HIV has now become rare in the United States, according to research published in the Dec. 9 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Vasectomy Reversal Outcomes Up With Same Partner As Before

FRIDAY, Jan. 9, 2015 (HealthDay News) -- Fertility outcomes are improved for men who undergo vasectomy reversal and have the same female partner as before vasectomy, according to a study published in the January issue of The Journal of Urology.

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Bipolar Androgen Therapy May Boost Hormonal Tx in Prostate CA

THURSDAY, Jan. 8, 2015 (HealthDay News) -- A treatment strategy called bipolar androgen therapy -- where patients alternate between low and high levels of testosterone -- might make prostate tumors more responsive to standard hormonal therapy, according to a small study published in the Jan. 7 issue of Science Translational Medicine.

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Experts Discuss Pros and Cons of Maintenance of Certification

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- The pros and cons of the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) are discussed in two articles published in the Jan. 8 issue of the New England Journal of Medicine.

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Sulfonylurea Rx Ups Testosterone Levels in Men With T2DM

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- For middle-aged men with type 2 diabetes, sulfonylurea treatment is associated with improvements in total testosterone levels and testosterone secretion index values, according to a study published online Dec. 15 in the Journal of Diabetes Investigation.

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Article Highlights Top Technology Challenges for 2015

WEDNESDAY, Jan. 7, 2015 (HealthDay News) -- The introduction of the International Classification of Diseases, 10th Revision (ICD-10), Health Insurance Portability and Accountability Act (HIPAA) audits, meaningful use 2, and the burdens of technology are the top four technological challenges for physicians in 2015, according to an article published in Medical Economics.

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Diet Advice for CA Prevention: More Veggies, Less Alcohol

TUESDAY, Jan. 6, 2015 (HealthDay News) -- Eating a plant-based diet and limiting alcohol intake may help lower the risk for obesity-related cancers, according to research published online Jan. 6 in Cancer Causes & Control.

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Article Highlights Top Management Challenges for 2015

MONDAY, Jan. 5, 2015 (HealthDay News) -- Considerable challenges are projected to impact practice management in 2015, according to an article published in Medical Economics.

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Survival Advantage of ADT+RT in Prostate CA Extends to Older Men

MONDAY, Jan. 5, 2015 (HealthDay News) -- Androgen-deprivation therapy with radiotherapy (ADT plus RT) is associated with a survival advantage over ADT alone for older men with locally advanced or screen-detected high-risk prostate cancer, according to a study published online Jan. 5 in the Journal of Clinical Oncology.

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